Literature Review

Family caregivers' perspectives on challenges and support needs in hospital-based palliative care for persons living with dementia Baylor Medicine | Texas Medical Center Documents ; by Jung Kwak, Anita Chary, Sarah Stayer, Kwaku Duah Oppong, Sumin Yoon, Snehal Patel, and Elizabeth A Kvale; originally pub 11/17/25, reposted online 6/23/26Palliative care needs of hospitalized persons living with dementia (PLWD) and their family caregivers remain poorly understood. ... Thematic analysis of interviews revealed three themes: the value of palliative care in navigating end-of-life uncertainty in dementia, uncoordinated and reactive care during hospitalization, and lack of guidance for post-hospital transitions. While caregivers valued palliative care for emotional and decision-making support, findings underscore the need for earlier integration and improved coordination across hospital teams to better support families.

Dying patients shouldn’t have to choose between dia­lysis care and com­fort The Boston Globe, Boston, MA; by Patricia Ramsden; 6/22/26 ... Medi­care cur­rently requires most end-stage kid­ney fail­ure patients to choose between dia­lysis and hos­pice bene­fits. ... People dying from other ter­minal ill­nesses do not face this harsh choice. For sev­eral years, Dia­lysis Clinic, Inc. (DCI), the only national not-for-profit dia­lysis organ­iz­a­tion, has col­lab­or­ated with not-for-profit hos­pice organ­iz­a­tions to offer con­cur­rent pal­li­at­ive dia­lysis and hos­pice care to selec­ted patients in Ten­nessee and West­ern Pennsylvania. A 2026 col­lab­or­a­tion between DCI and Care Dimen­sions, the largest hos­pice pro­vider in the state, expan­ded that model to East­ern Mas­sachu­setts. However, this innov­at­ive pro­gram, rely­ing on phil­an­thropic fund­ing, remains avail­able only to a few patients.

Palliative care utilization, advance care planning, and outcomes among older adults with cancer presenting to the emergency department Academic Emergency Medicine; by Meredith Janes, Nancy Wood, Emily Strong, Lisa Smith, Eric Snyder, Sule Yilmaz; 6/17/26 Conclusions: Older adults with cancer presenting to the emergency department (ED) experience high rates of hospitalization, intensive care use, and short-term mortality, yet palliative care remains underutilized. Although advanced care planning (ACP) documentation increased during acute care encounters, these changes often occur with clinical deterioration. The ED offers an opportunity to identify unmet palliative care needs and facilitate earlier integration. 

Tuesday Health brings community-based palliative care to Massachusetts in partnership with Commonwealth Care AllianceNEWSnet PR Newswire, Boston, MA; Press Release by Tuesday Health; 6/16/26Tuesday Health announced a partnership with Commonwealth Care Alliance (CCA) to deliver community-based palliative care to eligible members across Massachusetts, effective July 1, 2026. The partnership expands access to relationship-based care for individuals who are dual eligible for Medicare and Medicaid and enrolled in CCA’s Senior Care Options (SCO) and One Care programs. ... Tuesday Health delivers evidence-based, provider-led palliative care wherever patients call home, through interdisciplinary teams of nurses, nurse practitioners, social workers, and physicians. 

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

[Canada] Pallium Canada receives transformational gift from the J & W Murphy Foundation to map palliative care across Atlantic Canada CNW Group, Halifax, Nova Scotia; Press Release; 6/10/26 Pallium Canada is proud to announce a transformational gift of $345,500 from the J & W Murphy Foundation to support the development of four Atlantic Provincial Editions of the Canadian Atlas of Palliative Care — one for each of Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland and Labrador. These first-of-their-kind interactive resources for Atlantic Canada will map palliative care access, services, and gaps within each province.

Creation of a novel simulation based palliative care curriculum for the emergency medicine resident BMC Medical Education; by Hillary C. Moss, Bruce R. Gutierrez, Mustfa K. Manzur, Amir L. Rashed, John J. Thomas, Noah P. Trump, Danielle K. Turrin, Valerie C. Lehman, Michael Cassara & Carlo L. Lutz; 5/25/26 Conclusions: A year-long simulation-based palliative care curriculum significantly improved EM residents’ practice patterns in regard to palliative care, with a positive trend in knowledge retention. Feasibility of implementation was demonstrated. Findings suggest that simulation-based training effectively teaches key palliative care skills. This curriculum may serve as a model for integrating palliative care education into other EM residency programs and may improve resident preparedness in caring for critically ill patients near the end of life.

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

When it’s time to die: the need for palliative care training Psychology Today; by Shannon F.R. Small, MD; 6/1/26 It's important to know how to discuss death in surgical care. Have you ever had to tell someone that they are dying? ... In my field of trauma and surgical critical care, and in many other surgical specialties, such as surgical oncology, transplant surgery, or cardiothoracic surgery, the word death must not be seen as taboo. Helping patients and their families cope with the possibility of dying is increasingly recognized as crucial to surgical training, as evidenced by one study, which had greater than 90% of the faculty reporting that the graduating chief residents needed more training in conducting goals of care and end of life conversations.

 The impact of assisted dying legislation on nursing practice in palliative care: a scoping review Journal of Advanced Nursing; by Marlene Werner, Christiane Kreyer, Sabine Pleschberger; 6/5/26 Aim: To review the literature on the state of research on the impacts of assisted dying on nursing practice within specialised palliative care. Results: Fifteen studies published between 2019 and 2024, all from Canada or the United States, met the inclusion criteria. Three themes were identified: (1) positioning and meaning, describing how nurses are required to position themselves and to renegotiate their values; (2) impact on core competencies, capturing changes in key nursing responsibilities; and (3) challenges in interpersonal relationships, referring to increased team conflicts and shifts in relationships with patients and their families. 

Central Coast VNA & Hospice expands focus on aging-in-place support as regional demand grows K99.1 XLG, Monterey, CA; by Presswire.com; 6/5/26 Central Coast VNA & Hospice, a nonprofit home healthcare organization serving Monterey, Santa Cruz, San Benito, and South Santa Clara counties, is expanding its community education and outreach efforts around aging-in-place care services. The initiative responds to a growing number of families in the region seeking structured, professional support to help older adults live safely and independently at home, a trend observed broadly across California and the nation as the senior population continues to grow.